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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

10 Reasons Ultrasound Imaging beats MRI and Xray for Diagnosing and Treating Musculoskeletal Conditions

Musculoskeletal injuries from sports, trauma or overuse can be painful, messy and difficult to differentiate various layers and structures beneath the skin’s surface. Ultrasound imaging can identify the exact location and nature of a musculoskeletal injury within seconds, enabling the health care provider to accurately diagnose and treat injured patients. If you are not convinced […]

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November 30, 2017

What to do When a Pain in Your Neck becomes a Migraine Headache

If you suffer from persistent migraines, then the signs of it are very familiar and you can feel ahead of time the storm is coming. Very few people realize that neck pain is a powerful pre-factor for a migraine headache. Three of four migraine patients say that neck pain always escorts their migraine. 60% of […]

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November 24, 2017

Return to Sport after a Soccer Ankle Injury: How soon is too soon?

An ankle injury on the soccer field can be a devastating setback for an athlete at the top of their game. Not only does the athlete suffer, but the entire team takes a hit, and even the coach stands to face career issues if a key player goes down in mid-season. Needless to say, there […]

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November 22, 2017

Diagnosis and Treatment of Groin Pain in Athletes

Groin pain is a common complaint in athletes, especially in sports like hockey, soccer and football that involve pivoting, twisting and rapid directional changes. Chronic groin pain can interfere with performance, and can take an athlete out of the game for extended periods of time. In some cases it may become a career-ending injury. Treating […]

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November 16, 2017

Assessment and Diagnosis of Plantar Fasciopathy in Runners

Runners’ feet take a pounding, and over time the plantar fascia and its associated structures may become damaged with microtears, bone spurs or stress fractures. Correct diagnosis and treatment are key to full performance recovery. In its early stages, plantar fasciopathy usually presents as heel pain. Careful assessment will distinguish plantar fasciopathy from other causes […]

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November 13, 2017

The Case Against Valsalva Pushing in the Second Stage of Labor

Natural childbirth is as old as time itself…if it weren’t, none of us would be here! For most of human history, childbirth has been the purview of women, mostly midwives and female relatives, who assisted a laboring mother as she did what comes naturally. However, shortly after World War II, that all changed as modern […]

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November 13, 2017

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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

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Complete tear of rectus femoris
with large hematoma (blood)

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Separation of muscle ends due to tear elicited
on dynamic sonography examination

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